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HomeMy WebLinkAboutPermit Plumbing 2013-9-25 SPRINGFIELD-~ 225 Fifth St hrr CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02156 www.spnngfieldor.gov permitcenter @springfleld-or.gav • PROJECT STATUS: Issued ISSUED: 09/25/2013 EXPIRES: 03/24/2014 STATUS DATE: 09/25/2013 APPLIED: 09/25/2013 SITE ADDRESS: 1632 E ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703362117600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Water Service OWNER: GASSER MARK L Phone Number: ADDRESS: 1632 E ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION. 1 - Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor READY ROOTER DRAIN CLEANING 8 REPAIR SERVICE I CCB 92524 02/18/2015. 541-744-7991 INSPECTIONS REQUIRED • Inspections 3315 Water Line 3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing. 3999 Final Plumbing Final Plumbing: When all plumbing work is complete. By signature, I state and agree,that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein,and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street,that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. o�1e �( 9/z1i3 Owner or C t�Signature Date • ATTENTION: Oregon law requires you to . NOTICE: follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through CAR 952-001- 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (idor3: t"c telephone number for the Orec�r Li::: • P:,:;if.c':UOn ANY 180 DAY PERIOD. Conker is 1-17' • • Springfield Building Permit 9/25/2013 10:09:52AM Page 1 of 1 • SPRINGFIELDaimair CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811-SPR2013-02156 www.springfieldor.gov 1632 E ST permitcenter©spnngfield-or.gov RECEIPT NO: 2013002130 RECORD NO:811-SPR2013.02156 DATE:09/25/2013 e7XYy:1F11Qo1 I LkL, nolLisa,attatlealitairdraYaRallW GODEITRANSZODEW'E j-':: ''<AMOUNINDUEI, State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.02 . Technology fee(5%of permit total) 100-00000-425605 2099 4.18 Water Line 224-00000-425603 1005 83.50 TOTAL DUE: 97.70 • VFP.AYMENT0TsYPE FAYOR cnswEix°TaTsoN COMMENTS .z: .;,[AMOUNTT'P,,AID Credit Card READY ROOTER DRAIN CLEANING f 97.70 01063D REPAIR SERVICE INC TOTAL PAID: 97.70 Plumbing Permit Application DEPARTMENT USE ONLY rar.itS, rt,A 1 'sv ^ ; ` r )i:XII(ri. SPRINGFI ELO f Permit no.:ea 2072_2?/ Sc- �CITY6OF SPRI�CN.GFIELD, ORE�(GONic 'ty 225 Fifth Street • Springfield.OR97477 ♦ PH(541)726-3753 • FAX(541)726-3089 `r&°KOREGON Date: 0 7// 3 This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑ No Description 1:QIy. Cea ost Total cost Sanitation approval verified? ❑ Yes ❑ No New residential CATEGORY OF CONSTRUCTION I bathroom/I kitchen(inc/odes:first I00 fee/of Iraler)se o'er lines. hose ❑ Residential ❑Government 1 ❑Commercial bibs. ice nmker, uu<lergnnr loth-poira $262.00 $ JOB SITE INFORMATION AND LOCATION drains and rain-drain packages) Job site address: 1137/ e 5'1-- 2 bathrooms/1 kitchen $411.00 $ _ 3 bathrooms/1 kitchen 5483.00 $ City: n;/ z-,.. ._ State. ZIP: ___ Each additional bathroom(over 3) $104.50 $ Reference: - -1 axlot.: Each additional kitchen(over I) $104.50 S DESCRIPTION OF WORK Residential lire sprinklers(includes plan review) (11. La/ ice- -5—L124//c-e--1 010 2.000 square feet $80.00 S �"�' 2,001 to 3.6(10 square feet $128.00 $ PROPERTY OWNER 3.601 to 7,200 square feet $192.00 $ Name: WI o/Lo42....- G ci 55.2r) 7,201 square feet and greater 5255.00 $ Manufactured dwelling or pre-fah(circle one) Address: 1632. t_ -:;-7_ Connections to building sewer and n4�I` water supply 580.00 $ City `0 F.t State:0e ZIP: 9 1yy //In ! Commercial.industrial,and dwellings other than one-or Phone: - - Fax: - - two-family E-mail. hl inionun fcc S80.00 $ Each fixture 521.00 $ This installation is being made on residential or farm property — owned by me or a member of my immediate family,and is Miscellaneous fees exempt (roan licensing requirements under OAR 918-695-0020. 100'storm.sewer,wafer line / 583.50 $ Signature: Each fixture.appurtenance,and piping $21.00 $ CONTRACTOR INSTALLATION Storm water retention/detention facility $21.00 $ Business name. tzt,,2✓/ �� / Irrigation systems $21.00 $ Piping or private storm drainage 521.00 $ Address: (-.2 __ �n C systems exceeding the first 101)feet City: ( ,-.ems Stale. ZIP: Specialty fishers $21.00 $ �..,y" Rcinspection(no.of hrs.x fee per hr.) $80.00 S Phone:fYl-�1J,f Fax: - - Special requested inspections Ow.of $80.00 $ E-mail: hrs.x ice per hr.) _ L`{ BCD license no.: latch additional inspection: (I) $80.00 $ CCD license no.:n9 z5 Plumbing license no.: Medical gas piping Nlininu m fee $ Print name: Enter value of installation and equipment$ . Enter fee based on installation and equipment value. I $ Signature: APPLICANT USE (A) Enter subtotal of above fees (Ninhnu m Permit Fee$80.0(1) 1131 Investigative fee(equal to IA)) $ (C)Enter 12%surcharge(.12 s iA+131) $ (DI Technology fee(5%of IAl) $ TOTAL fees and surcharges(A through D): 5 - 7U 440-2500-,E(.t 11121113/C.'Oibq